Cerulean Blue Therapy, LLC
Community/Behavioral Health in Portland, OR. Organization (NPI-2).
NPI number1104516459
StatusActive
Last updated in NPPESMay 10, 2023
Details
- NPI
- 1104516459
- Entity type
- Organization (NPI-2)
- Legal business name
- Cerulean Blue Therapy, LLC
- Organization subpart
- No
- Enumeration date
- May 10, 2023
- Certification date
- May 10, 2023
- Last updated
- May 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
900 Nw Lovejoy St Apt 515Portland, OR 97209-3474
Phone 503-702-0554
Mailing address
900 Nw Lovejoy St Apt 515Portland, OR 97209-3474
Phone 503-702-0554
Authorized official
Katharine Elizabeth Fazal
Owner
5037020554
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Community/Behavioral Health Agency providers in Portland, OR
- A Hope For Autism FoundationNPI 1386189538
- Manar AbdeljawadNPI 1437866365
- Act NwNPI 1578102216
- Addictions Northwest, LLCNPI 1922477157
- Affinity Counseling And Consulting, LLCNPI 1891160412
- After Counseling, LLCNPI 1306216155
- Albertina KerrNPI 1881071900
- Albertina KerrNPI 1891929568
- Albertina Kerr CentersNPI 1124407770
- Albertina Kerr CentersNPI 1477618353
All 212 Community/Behavioral Health Agency providers in Portland · All 48,847 providers in Portland
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.